木村病治疗后进展情况及其影响因素分析
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石润杰,Email:shirunjie9h@163.com

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九院临床研究助力计划(JYLJ028);上海申康医院发展中心临床创新三年行动计划(16CR3119B)


Progression after treatment of Kimura’s disease and its influence factors
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    摘要:

    摘要:目的分析木村病患者治疗后的进展情况及其影响因素。方法对2007年10月—2019年6月上海交通大学医学院附属第六人民医院诊治的59例木村病患者进行电话随访,分析患者性别、发病年龄、吸烟史、饮酒史、病程、单发与多发、侧别、部位、肿块最大径、外周血嗜酸性粒细胞百分比、既往治疗后复发史、皮肤瘙痒、系统性疾病及治疗方式等木村病治疗后疾病进展相关的指标,用SPSS 21.0进行单因素分析及二元Logistic回归分析。结果随访6个月至14年,59例木村病患者的疾病进展率为37.3%(22/59)。单因素研究提示外周血嗜酸性粒细胞百分比≥20%、肿块最大径、皮肤瘙痒和既往治疗后复发史这些因素与疾病进展正相关(P<0.05),二元Logistic回归分析显示外周血嗜酸性粒细胞百分比≥20%是木村病治疗后疾病进展的独立危险因素(P<0.05)。结论外周血嗜酸性粒细胞百分比≥20%是木村病治疗后疾病进展的独立危险因素,可以帮助预测治疗疗效,从而达到个体精准化治疗的目的。

    Abstract:

    ObjectiveTo analyze the progression and possible influence factors of Kimura’s disease (KD) after treatment.MethodsA retrospective analysis was conducted on 59 patients with KD hospitaled in our department from Oct 2007 to June 2019. Data collected by telephone followup included gender, onset age, smoking history, drinking history of patient, course of disease, multiplicity, laterality, location and maximal diameter of lesion, eosinophils percentage in peripheral blood, history of recurrence, pruritus, systemic diseases, treatment modality. Univariate analysis and binary logistic regression analysis were performed by SPSS 21.0.ResultsFiftynine cases were included with a disease progression rate of 37.3%. Univariate analysis showed peripheral eosinophils ≥20%, maximal diameter of lesion, pruritus and history of recurrence were positively related to the progression of KD (all P<0.05). Binary logistic regression analysis revealed that peripheral eosinophils ≥20% was an independent risk factor (P<0.05).ConclusionThe peripheral eosinophils ≥20% is an independent risk factor for the progression of KD after treatment, which can help predict the therapeutic effect and facilitate the individualized precise treatment of this disease.

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王树伦,康雪然,江晨艳,易彬,陈斌,阎小军,石润杰.木村病治疗后进展情况及其影响因素分析[J].中国耳鼻咽喉颅底外科杂志,2020,26(2):148-152

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  • 在线发布日期: 2020-04-30
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